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PERMIT APPLICATION <br />BUILDiNG/MECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — vuww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: / "], � � . VROPER7Y TAIf N � , . � ��. P �J /I��' ^^ <br />�� � .��-' � I -+�(L�� (,1,� f���1C� <br />XCi��I(�. ��.i.i1 i-. i � �'�L,.� /; L�i <br />IO��BWCMISINCli00� ShDh <br />i � \1.1 � 1P'1( <br />i'S1�, ��-:����; <br />PERMIT APPLICATION <br />Lol No._ (atlaCh copy ot <br />9 <br />PhonrlE�mad .� O (. - i � S — <br />�/;t'> S i:J. yr� <br />PRICE OF WORK � <br />galdescnUM1on) <br />°� � <br />,� <br />,S'.>1 �� ,y' <br />il <br />i7�-31�;� <br />� <br />�,,;.�sF. rt.�... <br />5 c �ti,5t,,., a ��, <br />,��n ,�- <br />ngUseofBuilding j� �1�1_ i' v� �• Sr�Gni i HEATSOURCE: <br />i <br />�sedUseofBuilding ������`������� � CS�(�i,1rC Gas_ Eiennc_ otner__ <br />i <br />ngtype� �,SingteFamily _Duplez_Townhouse _Mulli-Famlly _Commercial <br />of pro�ect: _ New _ Addition _ Remodel ,� Repair _ T.I. _ Sign _Spnnkler _Demolition_Change o( Use <br />iptionofWode(addrtionalspacepmvr0edontheback):`/L��i1e =1Y1(�`��- G•Il `�����`�����Cl��l' 1����� <br />17 <br />/��(�lrlll.��� � SIl�l+l.� , �},'\�bL�c,��� �c�l)„1����� C.`Irlc�'c'.�Ll <br />you sGKed working without a permit9 _YES .� NO <br />MECHANICAL PERMIT APPLICATION PLUMBIN(i PERMIT APPLICATION <br />olProject: _New_Addn _Alteralion_Repair <br />Show Numb¢rlll o/ fixturns <br />heater <br />otPro�ecC _N¢w_Addn _Alteration_Repair <br />MediwlGas <br />Olher <br />Other: <br />I hereby certdy Ihat I have read and examinetl ih�s appication ana know Ihe same to be ime and correct. All provisions of laws and ora�nances goveming <br />Ihis type ol vmrk will be complicd with whelher speofiM herein a not The grenhng of a pertnit Oces �ot presume lo grve authonry ro vioiate or cancel <br />the provis�on ol any oiher state or local law regulating mnSlrucUon o� Ihe periortnance ol [onSUUIXion. Thal l am authonied by lhe owner ol this property <br />Io perform lhe work �or vRfich appLcation is made and I comply w+th Ihe SIaIe ConVactors Law 1827 RCW anG 296 200 WAC <br />, �' ��� ti.-� � � . � � <br />